By Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer
Acute deal with Elders (ACE) is a version of care designed to enhance practical results and to enhance the approaches for the care of older sufferers. This version comprises: an atmosphere of care designed to advertise stronger functionality for older sufferers; an interdisciplinary workforce that works jointly to identify/address the vulnerabilities of the older sufferers; nursing care plans for prevention of incapacity; early making plans to aid organize the sufferer to come domestic and a overview of remedy to avoid iatrogenic illness.
Acute take care of Elders: A version for Interdisciplinary Care is an important new source aimed toward helping services in constructing and maintaining an ACE software. The interdisciplinary procedure offers an creation to the main vulnerabilities of older adults and defines the teachings realized from the intense deal with Elders version. Expertly written chapters describe severe points of ACE: the interdisciplinary technique and the point of interest on functionality. the basic rules of ACE defined during this publication will additional help health center leaders to increase, enforce, maintain and disseminate the extreme deal with Elders version of care. Acute deal with Elders: A version for Interdisciplinary Care is of significant price to geriatricians, hospitalists, strengthen perform nurses, social staff and all others who offer top of the range care to older patients.
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Extra info for Acute Care for Elders: A Model for Interdisciplinary Care
It’s important to distinguish interdisciplinary from multidisciplinary. Multidisciplinary is defined as care provided by disciplines such as nurses, physicians, social workers, case managers, pharmacists, physical, occupational, and speech therapists. Each discipline brings their individual expertise to the management of the patient but function separately. Each discipline develops a plan of care for the patient but does not collaborate on a common comprehensive plan of care . In contrast, interdisciplinary teams practice true collaboration.
A recent study (PRODIGE) demonstrated that among 1,048 hospitalized patients, approximately 30 % suffered new disability from baseline to hospital discharge . In sum, over three decades of research has documented consistently high rates of functional decline associated with hospitalization, often despite appropriate management of the reason for hospital admission. This syndrome, also known as functional decline or deconditioning, was named “hospitalization-associated disability” (HAD) in a recent review of the topic .
The use of interdisciplinary teams has a long and inconsistent history. The components of successful health care teams however, have remained standard. As described in this chapter, these components include behaviors, process, professional relationships, and communication styles that teams incorporate over time. In addition, this chapter explores the role of the nurse, which is critical to the success and stability of health care teams. The difficulty in quantifying outcomes with a team model is described.